Implant Prosthetic Rehabilitation of Posterior Mandible After Tumor Ablation With Inferior Alveolar Nerve Mobilization and Inlay Bone Grafting: A Case Report

Introduction. Intentional partial odontectomy or coronectomy is primarily advocated in situations with intimate relationships between the roots of the tooth indicated for extraction and the inferior alveolar nerve (IAN). The aim of this report was to present a patient with two neighbouring infraoccluded teeth in the right mandible indicated for extraction prior to prosthetic rehabilitation, which were coronectomied as to prevent injuring of the IAN and causing iatrogenic fracture of the mandibular body. Case report. Coronectomy of both teeth was performed as recommended in the literature. The patient had no special discomfort after the operation or deficit in sensitive nerve function, and the wound healed uneventfully. The patient was followed regularly during a 2- year period. Conclusion. The presented case suggests coronectomy as quite beneficial solution for avoiding serious problems (injuring of the IAN and possible fracture of the mandible) and making feasible forthcoming prosthetic rehabilitation.

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COMPLEX PROSTHETIC REHABILITATION OF THE PATIENT WITH MALIGNANT TUMOR OF OROPHARYNGEAL REGION DURING ANTITUMOR TREATMENT: CASE REPORT

Problems in oncology ◽

10.37469/0507-3758-2019-65-2-287-293 ◽

2019 ◽

Vol 65 (2) ◽

pp. 287-293

Author(s):

Yekaterina Izhnina ◽

Yekaterina Kochurova ◽

Natalya Lapina ◽

Karina Seferyan

Keyword(s):

Case Report ◽

Malignant Tumor ◽

Methodological Approach ◽

Difficult Problem ◽

Prosthetic Rehabilitation ◽

Anatomic Structure

Treatment of patients with malignant tumor of oropharyngeal region is a difficult problem due to the last detection of diseases and complex anatomic structure, despite the emergence new and improvement methods of the treatment of cancer of oropharyngeal region. Complex rehabilitation of this patients presents great difficulties due to the disturbance of breath, swallowing, speech, and the lack of a single methodological approach to treatment. It is needs to improve the effectiveness of prosthetic care for patients with malignant tumor of oropharyngeal region.

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Rehabilitation of a Patient with Cleft Lip and Palate with an Extremely Edentulous Atrophied Posterior Maxilla Using Zygomatic Implants: Case Report

The Cleft Palate-Craniofacial Journal ◽

10.1597/03-105.1 ◽

2004 ◽

Vol 41 (5) ◽

pp. 571-574 ◽

Cited By ~ 28

Author(s):

Anh Viet Pham ◽

Marcelo Abarca ◽

Albert De Mey ◽

Chantal Malevez

Keyword(s):

Case Report ◽

Bone Grafting ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Oral Implants ◽

Alveolar Cleft ◽

Dental Prostheses ◽

Posterior Maxilla ◽

Zygomatic Implants ◽

Dental Rehabilitation

Objective This case report describes the clinical and surgical management of a patient with a unilateral alveolar cleft and associated extremely atrophied totally edentulous maxilla. Method Two zygomatic implants and four endosseous oral implants were placed under general anesthesia in a compromised maxilla to rehabilitate a 33-year-old patient with cleft lip and palate. The two specially designed zygomatic implants were utilized to avoid the need for bone grafting in the patient. The final prosthetic rehabilitation was an esthetic and functional maxillary overdenture prosthesis supported by implants. Results Preliminary results have shown how dental prostheses supported by endosseous implants in grafted alveolar cleft are a reliable possibility in the dental rehabilitation of this malformation. Conclusion The use of zygomatic implants may be considered a reliable alternative to more resource-demanding techniques such as bone grafting in patients with cleft palate.

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